Individual
LEONARD KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 DUNLAWTON AVE STE 4D, PORT ORANGE, FL 32127-2918
(386) 671-2626
Mailing address
3121 CAROLINE ST, SAINT LOUIS, MO 63104-1205
(636) 312-0785
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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